| NPI | 1497978985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHBUB S KAPADIA Medical Director 773-391-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 036071671) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |