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 |