| NPI | 1285974501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAZDAR KHAN MOHAMMAD President 312-730-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-02-23 |
| Last Update Date | 2013-02-23 |