| NPI | 1932635083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA DAUDI President 847-230-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 336072732) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-11-08 |