| NPI | 1942698139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSIN QAYYUM Manager 630-327-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |