| NPI | 1437194719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN C BUNN CEO 773-978-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |