| NPI | 1992092753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAADIA A ZAHEER Owner 815-802-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-03-02 |