| NPI | 1154790350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYEZ MEKHAEL Physician 630-915-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036118957) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036118957) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |