NPI | 1649461526 |
---|---|
Entity Type | Organization |
Authorized Contact | REDA KILANI Physician And Surgeon 630-355-8828 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 036076152) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036076152) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2008-10-06 |