| NPI | 1932480506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J DOLEHIDE Owner 773-779-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036081654) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |