| NPI | 1093974800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANAN YOUSIF Practice Manager 708-200-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-02-12 |