| 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 |