| NPI | 1780616102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEUN HIE KIM Office Manager 312-738-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036049782) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036049782) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |