| NPI | 1922283068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABIHA Y THASEEN Medical Doctor 847-962-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036092253) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-07-21 |