| NPI | 1669697868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WYLIE Office Manager 708-799-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036060989) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-08-15 |