| NPI | 1063834232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMER ALRIFAI President 773-583-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 036056607) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |