| NPI | 1548922438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YITZCHAK FREUND Chief Operating Officer 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-10-01 |