| NPI | 1821694795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA KILBURN Authorizing Official 312-262-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2022-02-02 |