| 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 |