| NPI | 1316037120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWED EHSAN Owner 847-742-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-04-15 |