| NPI | 1851435986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT RAFER BENIG President 773-445-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036105160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036045330) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |