| NPI | 1508067471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMPEN CHARO Physician 708-756-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036046854) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-08-04 |