| NPI | 1730353624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIA SULTANA AHMED Family Practice 773-276-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036068577) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-10-06 |