| NPI | 1457736928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGSOO KWON President 773-772-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036070641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036120995) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-08-18 |