| NPI | 1427271790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAN DUONG Owner 773-878-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-04-21 |