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 |