| NPI | 1134340854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR DALLOUL Owner 847-247-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036088845) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |