| NPI | 1467442293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT JOHNSON Executive Director 708-915-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: IL 036-048841) | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology (Licence: IL 036-108069) | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-07-02 |