NPI | 1689151078 |
---|---|
Doing Business As | CBJI |
Entity Type | Organization |
Authorized Contact | MOHAMED SIRAJUDEEN Authorized Manager 773-552-1355 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2018-07-27 |
Last Update Date | 2018-07-27 |