| NPI | 1790848877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICJA KRASKA Manager 708-444-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042618236) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-12-06 |