| NPI | 1548511017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN CHANTELL COLLINS Authorized Official 312-262-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA 207Q00000X) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-07-26 |