| NPI | 1104838788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASSIM EL-HARAKE Owner 815-730-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036089327) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207R00000X Internal Medicine (Licence: IL 036102075) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-02-09 |