| NPI | 1184939548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROSLAV TYMOUCH President 773-697-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036116592) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-06-09 |