| NPI | 1831965409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY PATEL Medical Director 630-481-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |