| NPI | 1093977175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALYNA BORYSLAVSKA President 773-276-6831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036119204) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |