NPI | 1356074264 |
---|---|
Entity Type | Organization |
Authorized Contact | NAUSHEEN AHMED Owner 708-420-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2022-07-07 |
Last Update Date | 2023-09-11 |