| NPI | 1194964940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADEZHDA CHERNYAVSKAYA Dentist 773-679-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019027771) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |