| NPI | 1801120860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARJUMAND FARHANA Physician 312-933-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036106640) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2012-03-27 |