| NPI | 1619912995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEDNARZ Owner 708-422-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |