| NPI | 1548975873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA AWUA-LARBI Owner 630-210-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |