| NPI | 1124295340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS PETROVAS President 773-658-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042616685) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2015-01-20 |