| NPI | 1972641702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMRAN NISAR Owner Physician 708-532-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036091258) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-07-16 |