NPI | 1841560141 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT A HALPER Authorized Official 312-942-7770 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-01-04 |
Last Update Date | 2024-09-25 |