| NPI | 1629292131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJIDA MIRZA Owner Physician 312-842-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036066426) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-12-27 |