| NPI | 1962523720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ G GUPTA Owner 708-525-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-03-24 |