| NPI | 1669623575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENO NSIMA-OBOT Owner 708-359-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036099035) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 336059478) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |