| NPI | 1235522525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAASAL MOHAMMED SHAHER President 773-654-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036126749) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |