| NPI | 1215267786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA K SARMA Owner/President 773-488-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036099712) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2015-07-30 |