| NPI | 1548533870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI BASSIRATPOUR Owner/Manager 630-605-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036106820) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-03-07 |