| NPI | 1013535764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. DIMITRY LIKTEREV Pres 847-414-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-13 |