| 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 |