| NPI | 1770953986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY SHARMA Owner 312-266-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036112797) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |