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 |