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 |