NPI | 1548820137 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIL ABDUR-RAHMAN Attending Physician 847-244-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-06-17 |