| NPI | 1437357795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M. BAZAN President 773-575-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-095548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036095548) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-09-25 |