| NPI | 1730823147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED HAMED QURESHI President 773-853-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |