| NPI | 1780420653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEER SALHIA RAFATI Provider 708-671-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-03 |