| NPI | 1851776439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ AHMED President 630-295-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 364SA2200X Clinical Nurse Specialist Adult Health | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |