| NPI | 1174628572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZHAR ASLAM Owner 217-422-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IL 036-108233) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-05-07 |