NPI | 1912465469 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY RUBAS General Counsel 312-465-7898 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-03-06 |