| NPI | 1720304249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASREEN KHAN Owner 773-275-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 3656673) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-09-29 |