| NPI | 1124134176 |
|---|---|
| Doing Business As | MEDBASICS |
| Entity Type | Organization |
| Authorized Contact | JODI KRUSELY Account Manager 847-838-3832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-01-11 |