| NPI | 1629651971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARFARAZ ABDEALI JASDANWALA Owner 312-953-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |