NPI | 1861795486 |
---|---|
Entity Type | Organization |
Authorized Contact | KHURRAM KHAN CEO 773-375-3312 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2010-12-21 |
Last Update Date | 2022-02-02 |