| NPI | 1790867356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSSAMA HOSNEY ZORUB Owner 708-422-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036092465) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-02-23 |