| NPI | 1093067233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN RACHID Pediatrician 708-424-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036099854) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-01-31 |