| NPI | 1568704443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAI BUKHARI CEO 708-307-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036129282) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036129282) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036129282) | |
| 207R00000X Internal Medicine (Licence: IL 036129282) | |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology | |
| 208D00000X General Practice (Licence: IL 036129282) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| 261Q00000X Clinic/Center (Licence: IL 036129282) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-12-04 |