| NPI | 1689908659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY EFIM GLIKIN President 847-456-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 238.000103) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |