| NPI | 1578751988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIL ASADUDDIN Director 847-910-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: TX L5230) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2019-05-11 |