| NPI | 1881065738 |
|---|---|
| Other Name | MIND |
| Entity Type | Organization |
| Authorized Contact | DAVID KOTEVSKI Office Manager 847-236-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2021-02-24 |