| NPI | 1972324200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUFYAN ABDULMUJEEB Owner 708-942-4785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-10-19 |