| NPI | 1851843692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC GAZIANO President 773-988-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036091770) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164006794) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |