| NPI | 1497370092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ELLIS Program Director 708-781-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |