| NPI | 1700839701 |
|---|---|
| Doing Business As | MID AMERICA MEDICAL & DIAGNOSTIC |
| Entity Type | Organization |
| Authorized Contact | ALEKSEY POLYAKOV President 847-731-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042618331) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-06-30 |