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 |