| NPI | 1871195644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN CHANTELL COLLINS Authorized Official 312-262-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2022-05-13 |