| NPI | 1679666820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR GORDIN President 847-243-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 042-618618) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038009488) |
| 207R00000X Internal Medicine (Licence: IL 036109468) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-01-12 |