| NPI | 1417341249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER CORPUZ Chief Executive Officer 312-829-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 771115088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 771115088) |
| 207R00000X Internal Medicine (Licence: IL 771115008) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |