| NPI | 1720447667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR DINESH Director 312-857-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ZZ 11O49IK) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-05-09 |