| NPI | 1962459263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASIM DIN Chief Financial Oficer 312-633-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002629) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |