NPI | 1588785380 |
---|---|
Former Legal Business Name | PETERSON OCCUPATIONAL MEDICINE, SC |
Entity Type | Organization |
Authorized Contact | AREF SENNO Owner 773-508-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2007-04-02 |
Last Update Date | 2008-06-17 |