| NPI | 1538362108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAIYAPON COUROPMITREE Owner 708-442-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036045186) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |