| NPI | 1154790350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYEZ MEKHAEL Owner 630-915-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2025-11-18 |