| NPI | 1942607932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONZER KADDOUR CEO 312-451-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C53238) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C53238) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-05-21 |