| NPI | 1699025239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWARI OSMANI SIDDIQUI Doctor 847-242-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: IL 036122637) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |