| NPI | 1700901576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE KATES Director 773-753-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2025-09-11 |