| NPI | 1851026439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARFARAZ JASDANWALA Md 312-953-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-11-03 |