| NPI | 1376632182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON SAFARLOO CEO 630-907-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036087296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036098672) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-08-28 |