| NPI | 1346535804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHMI C PATEL Director 847-228-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2026-01-30 |