NPI | 1619193760 |
---|---|
Former Legal Business Name | SAKN PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SHERAHSAN K NIAZI President 815-741-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036089109) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |