| NPI | 1760858633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF M RIAZ CEO 773-996-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2085B0100X Radiology Body Imaging | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |