| NPI | 1700119104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD JAJEH President 773-770-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2014-05-13 |