| NPI | 1801512595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHUL VORA Physician 708-949-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-12-22 |