| NPI | 1619005725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADWIGA ROGUSKA-KYTS Owner 312-926-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036038924) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036038924) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-08-26 |