| NPI | 1639132590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRAV PRITAMBHAI CHUDGAR Director Of Corporation 708-832-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036096495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01047212A) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-12-19 |