| NPI | 1396048757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANTIBHAI K PATEL Owner/Provider 708-749-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036051749) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-15 |