| NPI | 1659631273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH Z PUDLO President 773-631-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036072100) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |