| NPI | 1598465155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH PATEL President 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |