| NPI | 1740642628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHA K YALAMANCHI Sole Member 630-487-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036121291) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |