NPI | 1568883908 |
---|---|
Doing Business As | SMG ARCHER POB |
Entity Type | Organization |
Authorized Contact | JOHN E VAZQUEZ Cmo 773-257-6850 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2014-01-03 |
Last Update Date | 2019-06-24 |