| NPI | 1538497656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEJLA M. SUNJE Office Manager 773-506-7340 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006013537) |
| Additional Taxonomies | 202K00000X (Licence: MO 2006013537) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2015-02-11 |