| NPI | 1598550840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLLY P MACWAN Owner/Employee 847-881-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-08-17 |