NPI | 1821360041 |
---|---|
Entity Type | Organization |
Authorized Contact | FAIZUDDIN SHAREEF Secretary 630-699-6846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-02-03 |
Last Update Date | 2013-02-13 |