| NPI | 1992598189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE ELMOSA Physician 708-699-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-08-28 |