| NPI | 1710103148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWIN KLARQUIST President 312-332-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036100647) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |