| NPI | 1285300160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKHIL VIJ Partner 708-476-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |