| NPI | 1518498393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR THAKKAR Medical Director 708-222-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036133879) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-01-25 |