| NPI | 1497773006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA GRIBOVICH Family Practice 773-878-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-11-15 |