| NPI | 1457698748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAH A ALAM President 630-306-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036114268) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036114268) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-08 |