| NPI | 1245950930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURLEEN KAUR President 708-860-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-05-25 |