| NPI | 1962878264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BANGALORE MURTHY President 773-947-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |