NPI | 1770617862 |
---|---|
Doing Business As | NORTHPARK MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | ANTHONY JOSEPH MARTINO Owner 708-345-8255 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036110934) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2024-07-19 |