| NPI | 1578679486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E FRIEDELL President 312-808-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042-617358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 042-617358) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 042-617358) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 042-617358) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 042-617358) | |
| 208000000X Pediatrics (Licence: IL 042-617358) | |
| 208600000X Surgery (Licence: IL 042-617358) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2013-11-22 |