| NPI | 1710041579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMA INDUBHAI PATEL Intern 773-485-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 390200000X) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |