| NPI | 1811165376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN ROCHELLE SJ DELEON Provider 773-884-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036089949) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |