| NPI | 1306499363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYAD G. HOUSHAN President 312-776-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-09-26 |