| NPI | 1861787616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER NUHAILY Provider 708-422-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036118507) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |