NPI | 1790777837 |
---|---|
Entity Type | Organization |
Authorized Contact | SOTERIOS G POLYCHRONOPOULOS Owner Of Medical Group Practice 773-445-2422 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2005-08-16 |
Last Update Date | 2010-07-09 |