| NPI | 1073003844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVESH GANDHI Owner 630-846-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-03-21 |