| NPI | 1285752360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MUZAFFERUDDIN ADIL President 815-729-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036095236) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-01-09 |