| 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 |