NPI | 1316037120 |
---|---|
Entity Type | Organization |
Authorized Contact | JAWED EHSAN Owner 847-742-0165 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036089665) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036116471) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-04-15 |