| NPI | 1841357316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ AHMED Owner 630-295-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-008665) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209.006668) | |
| 133V00000X Dietitian, Registered | |
| 111N00000X Chiropractor (Licence: IL 038012771) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-08-20 |