| NPI | 1629600879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH M PATEL President 224-777-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2021-09-30 |