| NPI | 1306948534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KASEER GHUMRA Physician 847-931-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036108636) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036086778) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |