| NPI | 1023550811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR URBIN President 224-534-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036.134524) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |