| NPI | 1548094360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOMAN KHOKHER Adminstrator 773-672-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-01-25 |