| NPI | 1255124962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL SHABBIR Practice Administrator 312-866-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2026-05-04 |