NPI | 1548447956 |
---|---|
Former Legal Business Name | TOTAL CARE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | LEONARD M SPISHAKOFF Physician 708-484-9506 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: IL 036091578) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2011-04-13 |