| NPI | 1528679347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEL MOURADI President 708-829-2198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |