| NPI | 1447819578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M BODLEY Medical Billing Management 773-737-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |