| NPI | 1548531924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A HALPER Authorized Official 312-942-7770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2024-09-25 |