| NPI | 1376612630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD Y SIDDIQ Owner 630-553-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-10-11 |