| NPI | 1881652600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN A HASHEMI Director 847-756-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036086733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000432) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2009-05-26 |