NPI | 1982448296 |
---|---|
Doing Business As | EVERSHINEMED BEDFORD |
Entity Type | Organization |
Authorized Contact | RAHIM RUKNUDIN SEWANI Managing Member 630-853-7049 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-09-09 |