| NPI | 1659890663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO SANTOS LEAL Owner 312-315-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101263059) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2019-01-30 |