| NPI | 1619644523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOTARA SULYMAN President 312-883-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-09 |