NPI | 1619165719 |
---|---|
Doing Business As | EVANSTON INTERNAL MEDICINE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | THOMAS J SIMON President 307-789-0524 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 3812A) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2015-11-30 |