| NPI | 1487733028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMER RUSTOM Medical Director 773-227-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36083101) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-11-29 |