| NPI | 1689028714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN A IBRAHIM Physician 708-614-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036088992) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |