| NPI | 1275722613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED YOUSUF KHADRI Owner 630-985-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 036076912) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-03-11 |