| NPI | 1417267246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZISHAN ALAM Family Physician 773-315-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.115864) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |