| NPI | 1730452285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADAH ATASSI Medical Director 312-970-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036-081178) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2016-10-21 |