NPI | 1982849576 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE P ARTEAGA Provider 773-927-5524 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036119408) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2008-12-10 |