| NPI | 1962615674 |
|---|---|
| Former Legal Business Name | HERMOSA MEDICAL & DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | RAGDA A. SHARIFEH President 773-772-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-06-14 |