| NPI | 1518223692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEEL AHAMED Manager 224-777-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine Obesity Medicine (Licence: IL 209007392) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2019-09-12 |