NPI | 1881728038 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY WONG Owner And Physician 312-808-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2007-03-16 |
Last Update Date | 2021-11-26 |