| 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 |