| NPI | 1871767111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAJA ALIUDDIN Physician/President 773-522-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036071142) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |