| NPI | 1710161625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWEL J SARATA Medical Director 312-593-3474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 36108386) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |