NPI | 1588044507 |
---|---|
Entity Type | Organization |
Authorized Contact | MOQUEET SYED Credentialing Manager 630-440-7786 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036108385) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2015-06-04 |