| NPI | 1578941555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSSAMA F ABDELLATIF Owner 708-788-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036108759) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |