NPI | 1447343090 |
---|---|
Entity Type | Organization |
Authorized Contact | LEJLA M. SUNJE Office Manager 773-989-0562 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036103665) |
Additional Taxonomies | 202K00000X (Licence: IL 036103665) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2009-12-01 |