NPI | 1811603012 |
---|---|
Entity Type | Organization |
Authorized Contact | AMISH PATEL President 224-777-8045 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-01-31 |