NPI | 1174646285 |
---|---|
Entity Type | Organization |
Authorized Contact | SATISH N PATEL President 847-259-8777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036126253) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 042617076) |
207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 042617076) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2015-05-26 |