| NPI | 1912946120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D MARRA Practice Manager 312-926-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213E00000X Podiatrist | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-07-23 |