| NPI | 1053546820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHSEEN J SIDDIQUI Owner 708-351-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.105217) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-27 |