| NPI | 1629619127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIY STRELKIN Provider/Owner 773-619-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-10-05 |
| Last Update Date | 2019-10-05 |