| NPI | 1962760017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEMAGNE G GUERRERO President 773-504-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036124775) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2013-09-10 |