| NPI | 1134309503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHNAZ NOORI KHAVIDI President 847-673-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 209000602) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |