| NPI | 1053410407 |
|---|---|
| Doing Business As | PRIMARY CARE JOLIET |
| Entity Type | Organization |
| Authorized Contact | YATIN M SHAH Owner 815-726-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: IL 036110259) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |