| NPI | 1366497026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN B PRITIKIN Sole Proprietor 312-372-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036-087346) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-09-14 |