NPI | 1649310327 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK JOSEPH SULLIVAN Office Manager 312-649-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 3639839) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2020-08-22 |