| NPI | 1780848945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ZAFFARKHAN Dentist 773-463-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 01901529) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |