| NPI | 1851190912 |
|---|---|
| Doing Business As | YORKTOWN HEALTH LISLE |
| Entity Type | Organization |
| Authorized Contact | SHAWN GEORGE Owner 773-653-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |