NPI | 1275762106 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA ABDULLAH ALFARES Resident 312-823-7637 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI L1598766) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2009-07-13 |