| NPI | 1710083894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KRUGEL Vice President 773-878-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-01-07 |