| NPI | 1851504161 |
|---|---|
| Doing Business As | JACKSON PARK MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T FOREMAN President 773-947-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042004703) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-03-11 |