| NPI | 1457543605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORITZ M CHAVEZ M.D. 773-582-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036087770) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |