| NPI | 1437577061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA A. GEIHSLER Principal 773-697-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI Applying For) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |