| NPI | 1548442437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN W FUREY President 312-642-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036037624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036037551) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |