| NPI | 1821315128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MASSENBURG Physician 773-983-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036115006) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |