NPI | 1558588772 |
---|---|
Entity Type | Organization |
Authorized Contact | SYED A KARIM Director 312-818-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-04-19 |
Last Update Date | 2021-12-21 |