| NPI | 1427264456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANDELIS D BANIAS Owner 847-316-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042006709) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-11-01 |