| NPI | 1952757460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOQUEET A SYED Manager 630-440-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-104408) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |