| NPI | 1649526617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUM MUZAFFAR Resident Physician 312-315-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |