| NPI | 1942585468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE N. NGU Medical Director 708-250-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036092049) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-20 |