| NPI | 1235440835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD M TAYEB Office Consultant 847-387-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042619629) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |