| NPI | 1912200882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX OBREGON Owner/Provider 708-656-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069552) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-01-01 |