| NPI | 1518282805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD S SYED Owner 773-776-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-084772) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |