NPI | 1710160130 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA CVENGROS Physician 773-755-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
2083X0100X Preventive Medicine, Occupational Medicine | |
Enumeration Date | 2007-12-07 |
Last Update Date | 2008-03-31 |