| NPI | 1649457920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM HERZOG President 773-284-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-11-24 |