| NPI | 1508165614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISHA JOSEF PAYANT Dr. / Owner 773-746-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: IL 198000961) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: RI DA00369) |
| 111N00000X Chiropractor (Licence: IL 038004928) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-04-08 |