| NPI | 1740271964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CHARLES KNAPP Corp. President 773-890-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-62820) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-08-17 |