| NPI | 1598718009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGONI I DOKUBO CEO 773-265-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |