| NPI | 1518071877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY PENMETCHA Attending Physician 708-756-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036097423) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-06-18 |