NPI | 1699825133 |
---|---|
Entity Type | Organization |
Authorized Contact | WOJCIECH JAN SLODOWY President 773-889-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036067404) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-02-03 |