NPI | 1518993203 |
---|---|
Doing Business As | JACOB D BITRAN MD |
Entity Type | Organization |
Authorized Contact | SONYA N MODI Pharmacist 847-268-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 336012509) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-06-24 |
Last Update Date | 2008-07-29 |