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