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