| NPI | 1134541568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR GOLDVEKHT Owner 312-243-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036110569) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |