| NPI | 1679724587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAIL AHMED SIDDIQUI President 773-681-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2025-05-22 |