| NPI | 1548579832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES O. BOTUYAN President 773-645-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |