| NPI | 1477723823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA DOYLE Billing Consultant 773-846-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036098516) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2008-03-19 |