NPI | 1538656863 |
---|---|
Doing Business As | CENTRAL CLINIC |
Entity Type | Organization |
Authorized Contact | MYSORE BHAGAVAN President 708-275-7458 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-094099) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2019-12-04 |