| NPI | 1932370616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN CHUQUIMIA Md 708-532-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036046105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036088831) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-07-07 |