| NPI | 1275219602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH PATEL President 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |