| NPI | 1679285019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KATSNELSON CEO 847-593-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |