| NPI | 1881702942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GARIBASHVILY President 847-962-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036112246) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-09-15 |