| 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 |