NPI | 1225116346 |
---|---|
Entity Type | Organization |
Authorized Contact | SAKHAWAT HUSSAIN President 708-333-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036084563) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036052493) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |