| NPI | 1912559303 |
|---|---|
| Doing Business As | I-SQUARED MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DOMINIC D PATAWARAN Co Owner 773-490-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |