| NPI | 1831124759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE HOGSTROM Internal Medicine 773-878-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: IL 036064677) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |