| NPI | 1881149664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINOVIY RABINOVICH Owner 847-909-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 016005115) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2017-07-26 |