| NPI | 1780830323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN MOMNEY Office Manager 708-386-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036094250) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2010-06-04 |