| NPI | 1649916404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH M MAGLOCZKI Physician 773-771-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |