| NPI | 1497024616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ACQUAYE-AWAH Secretary 773-807-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036102126) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |