| NPI | 1700064128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA CHIONG FERNANDEZ Medical Assistant 773-489-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |