| NPI | 1306217385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASEERUDDIN GULAM KHAN Director 773-984-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036126888) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-09-13 |