| NPI | 1124002290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICHNIAPALLY S NEELAKANTAM President 630-844-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036048781) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |