| NPI | 1831142421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J GREENBERG Doctor 773-296-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036055515) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-05-06 |