NPI | 1740568351 |
---|---|
Entity Type | Organization |
Authorized Contact | MANSOUR M ALSHOBAKI President 708-424-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036125844) |
Enumeration Date | 2011-07-31 |
Last Update Date | 2023-06-15 |