| NPI | 1760116172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIFFIN MYERS Cmo 312-733-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |