| NPI | 1437541000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE ELMOSA Practice Manager 708-200-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036119432) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |