| NPI | 1619149820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD FARAH President 847-382-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036059329) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |