| 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 |