| NPI | 1881063147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA SEEDOO Authorized Official 773-583-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 251E00000X Home Health | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2017-12-29 |