| NPI | 1235365206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKARAMULLAH SYED Director 815-479-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 036082303) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036082303) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2016-03-15 |