| NPI | 1831674654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUBAS General Counsel 312-465-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2021-02-25 |