NPI | 1154535284 |
---|---|
Entity Type | Organization |
Authorized Contact | PRADEEP AGRAWAL Business Manager 630-505-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042618242) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |