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 |