NPI | 1982793436 |
---|---|
Doing Business As | DBA SOUTHLAND RHEUMATOLOGY CENTER, LTD |
Entity Type | Organization |
Authorized Contact | WENDI L JEFFERS Office Manager 708-283-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IL 036094023) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2009-01-13 |