| NPI | 1841529856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA MONTENEGRO Office Manager 708-681-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036079300) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |