| NPI | 1467765891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ISMAIL AHMED Owner 773-533-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036081126) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-03-11 |