| NPI | 1912379942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA D LYSANDROU Administrator 773-588-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036084250) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-05-16 |