| NPI | 1639130271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL N PATEL President 630-803-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036-097930) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |