| NPI | 1770971871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN KATSNELSON Owner 847-257-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |