| NPI | 1306455712 |
|---|---|
| Doing Business As | PASSION HEALTH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANANTHA CHENTHA Owner 217-454-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2022-12-27 |