| NPI | 1700598059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED HASAN ELGAMAL Owner 708-480-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-09-08 |