| NPI | 1912963505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BRICE GREENE President 773-734-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036051858) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036057667) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2009-06-11 |