| NPI | 1720277791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE ANTHONY PIMENTEL President 773-651-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036111599) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |