| NPI | 1508209867 |
|---|---|
| Doing Business As | THE HOLISTIC BODYLAB |
| Entity Type | Organization |
| Authorized Contact | KEVIN GILL Owner 312-307-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036123466) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-11-12 |