| NPI | 1811102353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED E NASR Physician And Surgeon 847-356-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036047948) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036058768) |
| 207Q00000X Family Medicine (Licence: IL 036082737) | |
| 207Q00000X Family Medicine (Licence: IL 036047948) | |
| 207R00000X Internal Medicine (Licence: IL 036058768) | |
| 207R00000X Internal Medicine (Licence: IL 036082737) | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: IL 036058768) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036058768) | |
| 208600000X Surgery (Licence: IL 036058768) | |
| 208600000X Surgery (Licence: IL 036047948) | |
| 208D00000X General Practice (Licence: IL 036058768) | |
| 208D00000X General Practice (Licence: IL 036082737) | |
| 208D00000X General Practice (Licence: IL 036047948) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-06-21 |