| NPI | 1376653725 |
|---|---|
| Doing Business As | CENTER FOR HOLISTIC MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JERRY P GORE General Medicine And Psychiatry 847-236-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036053622) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180004714) |
| 104100000X Social Worker (Licence: IL 149003629) | |
| 111N00000X Chiropractor (Licence: MN 038010402) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036053622) | |
| 207R00000X Internal Medicine (Licence: IL 03659329) | |
| 174400000X Specialist (Licence: IL 181000325) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-05-16 |