NPI | 1174255913 |
---|---|
Entity Type | Organization |
Authorized Contact | AVA MARGITZA Owner Operator 773-942-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2022-06-29 |
Last Update Date | 2022-07-12 |