| NPI | 1447992144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJAD ZALZALA President 630-952-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |