| NPI | 1508631193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD VASEEMUDDIN Owner 847-323-5491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RN0300X Internal Medicine Nephrology | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2024-03-26 |