NPI | 1013236090 |
---|---|
Entity Type | Organization |
Authorized Contact | MILENA KYOUTCHOUKOVA Owner 708-691-1429 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036111568) |
Enumeration Date | 2010-05-31 |
Last Update Date | 2011-11-01 |