| NPI | 1447497904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SCHMIDT Office Manager 312-260-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036037987) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2015-04-01 |