| NPI | 1750647855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEEL AHAMED Biller 847-227-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 209007392) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2014-06-05 |