| 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 |