| NPI | 1538543251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA F SAAVEDRA Resident Physician 224-402-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.066959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.066959) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |