| NPI | 1073090601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANAN FAHMY President 217-891-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N1628) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |