| NPI | 1982081055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADA ZAYZAFOON Owner 312-919-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 19026509) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |