| 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 |