| NPI | 1942531801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YSABEL CHAVEZ Office Manager 773-927-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036054596) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-05-07 |