NPI | 1801168166 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMAD A GHAFOOR President 815-434-7204 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036046916) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |