NPI | 1740474584 |
---|---|
Doing Business As | CENTRAL MEDICAL CLINIC OF CHICAGO |
Entity Type | Organization |
Authorized Contact | VICTOR ALEKSANDER FORYS President, Physician 773-545-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2007-09-05 |
Last Update Date | 2011-06-30 |