| NPI | 1063250645 |
|---|---|
| Doing Business As | SHINE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PREYANSHU PAREKH Physician 224-407-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-10-13 |