| NPI | 1942446760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY K NEWHALL President 773-388-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036105585) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2015-08-31 |