| NPI | 1154095800 |
|---|---|
| Doing Business As | SOUTH SUBRBAN MULTI SPECIALTY GROUP LTD |
| Entity Type | Organization |
| Authorized Contact | HANAN H YOUSIF President 708-535-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |