NPI | 1598847642 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDRICK M ELLYIN Owner 773-275-0177 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036059538) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2008-04-20 |