| NPI | 1669799813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF ZAFFARKHAN Owner/Manager/Doctor 847-791-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |