| NPI | 1861985889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANI SSAAI Owner 312-841-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 238000386) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |