NPI | 1396261582 |
---|---|
Doing Business As | MEDICUS VIP |
Entity Type | Organization |
Authorized Contact | ERIC S KENLEY Owner 773-632-7244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A100640) |
Enumeration Date | 2017-08-18 |
Last Update Date | 2022-07-21 |