NPI | 1336450808 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVANG M PATEL Medical Director 630-698-3674 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036121863) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2025-05-13 |