| NPI | 1962683359 |
|---|---|
| Doing Business As | FAIRVIEW OGDEN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ZAINULABUDDIN SYED Owner/President 630-968-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-091132) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-11-24 |