| NPI | 1316310956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRINA G VIZINAS President 847-207-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036138515) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 036138515) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2016-01-04 |