| NPI | 1740596014 |
|---|---|
| Other Name | SELVAM MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | M. PANNIR SELVAM Physician 773-339-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036065767) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2012-01-04 |