| NPI | 1689742272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVEER AHMAD Owner 815-338-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036072630) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-09-17 |