| NPI | 1497747026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L GRICUS COO/RN/Ms 773-252-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2025-09-11 |