| NPI | 1497967491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH RETONDO-RUDINSKY Clinical Associate 773-702-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-065184) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |