NPI | 1487843496 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK J KELLY Senior Partner 773-293-3510 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036063365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036065656) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |