NPI | 1629373212 |
---|---|
Entity Type | Organization |
Authorized Contact | HELENE M RUIZ-PLA Physician 708-450-0705 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036074432) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2011-01-13 |