| NPI | 1558396580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORIAN MIRANZADEH President / Owner 773-327-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 36100398) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-02-23 |