| NPI | 1417802703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMYAR GHAZVINI CEO 224-294-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-06-16 |