| NPI | 1396828794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINDER K. SAHAJPAL Co Owner 708-425-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 036058362) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-05-28 |