| NPI | 1982902250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAIL AHMED SIDDIQUI President 773-681-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036092442) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-02-19 |