| NPI | 1609914423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN A GOLDBERG Owner Medical Director 773-239-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042617101) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 042617101) |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 042617101) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |