| NPI | 1548569643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWDAT ABBOUD President 708-974-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036087208) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |