| NPI | 1801081112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYALAKSHMI THOTA Owner/Physician 708-349-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088719) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-07-16 |