| NPI | 1548788169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R. DI IORIO Physician 312-421-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-105286) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-006776) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036-105286) | |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2022-11-03 |