| NPI | 1689841801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMTRIOS PETROVAS President 773-989-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042007949) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |