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 |