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 |