NPI | 1811401458 |
---|---|
Entity Type | Organization |
Authorized Contact | IRAM SHAIKH-ABBASI Family Physician 630-468-2034 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-11-17 |
Last Update Date | 2023-10-03 |