| NPI | 1710131503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PLONSKI Office Manager 773-229-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-066226) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |