NPI | 1124073143 |
---|---|
Entity Type | Organization |
Authorized Contact | ANWAR S YAMINI C.E.O. 708-720-6609 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036055245) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036055245) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2011-01-06 |