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 |