| NPI | 1841317799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LOPEZ MON President 708-499-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042005842) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |