NPI | 1588607345 |
---|---|
Entity Type | Organization |
Authorized Contact | RUDYARD U SMITH President 773-978-0757 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036053241) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2021-08-12 |