| NPI | 1093421208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH PATEL President 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-06-14 |