| NPI | 1588762942 |
|---|---|
| Former Legal Business Name | FARRELL/KLENSKE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD M FARRELL President 708-499-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-068003) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |