| NPI | 1093458648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKSANA GOVDYAK Owner 847-873-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |