| NPI | 1437368636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAOD PHELPS President 312-926-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036052170) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |