| NPI | 1831514769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY HUSSAIN President 312-933-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09363800) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2014-04-17 |