| NPI | 1043942238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL MATEN CEO 312-574-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 104100000X Social Worker | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |