| NPI | 1558505693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL SHAH Owner 312-944-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: IL 036120006) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-08-24 |