| NPI | 1538254693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED WASEEM HAIDER President 815-788-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036100063) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-12-14 |