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 |