NPI | 1518202225 |
---|---|
Doing Business As | EGEL MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | CAMILLA LARSEN Medical Director 773-653-5630 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036108645) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-20 |