| NPI | 1497188692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAM MAATOUK President 847-810-9095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |