| NPI | 1083880637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYEH EDWIN MIRSHED Executive Director 773-424-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-091913) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-11-05 |