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 |