| NPI | 1710148291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAROSLAW BANDURA President 773-489-0512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036058978) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-27 |