| NPI | 1720179831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PORONSKY Office Manager 708-923-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-01-04 |