| NPI | 1487894390 |
|---|---|
| Doing Business As | PRIMARY CARE JOLIET |
| Entity Type | Organization |
| Authorized Contact | YATIN M SHAH Physician/Owner 815-726-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036067943) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |