NPI | 1306455712 |
---|---|
Doing Business As | PASSION HEALTH SENIOR CLINIC |
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 |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2020-07-31 |
Last Update Date | 2025-03-31 |