| NPI | 1588656037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORTUNEE MASSUDA Medical Director/CEO 773-752-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-07-19 |