| NPI | 1649441775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RALPH ROSANOVA President 773-282-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036042670) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036042670) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |