| NPI | 1952765232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBARNA P PRADHAN President 773-638-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036056560) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |