| NPI | 1750523452 |
|---|---|
| Doing Business As | BODYLOGICMD OF CHICAGO |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MAZZEI Director 866-962-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036106115) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-04-22 |