| NPI | 1568667376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG PATEL Family Physician 312-622-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036117215) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |