| NPI | 1043596703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAP SHAH AO 630-581-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 01041056A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 261QU0200X Clinic/Center, Urgent Care (Licence: IN 02003711A) | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-11-14 |