| NPI | 1629235767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN M. REICH Owner 1773-775-9574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036061772) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |