| NPI | 1588075451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENADAYAL GADDAM President 708-769-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036084144) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-06-19 |