| NPI | 1710009204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF ASSAAD ISKANDER President 815-609-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036094077) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-11-30 |