| NPI | 1447601414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIYAAZ AHMAD KALIMULLAH Director 312-380-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036139965) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |