| NPI | 1881878288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMAYYAH KHAN Doctor/Owner 630-472-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019025700) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |