| NPI | 1528772860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKNA KRYSIAK Owner 312-860-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |