| NPI | 1730195462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERVIN DORODI President 847-297-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036105942) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A85638) |
| 207Q00000X Family Medicine (Licence: GA 54267) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-07-09 |