| NPI | 1861785123 |
|---|---|
| Doing Business As | VIKING GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL MCCORMICK Senior Vice President 708-583-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036079521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036101307) |
| 207R00000X Internal Medicine (Licence: IL 036047714) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-04-09 |