NPI | 1982361432 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW OYEYEMI ADASOFUNJO Physician/Medical Director 708-435-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2021-11-19 |
Last Update Date | 2024-06-03 |