| NPI | 1639372410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT R ROSANOVA President 773-282-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 36042670) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36042670) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |