| NPI | 1902926132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRY LIKTEREV Pres 847-414-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 225000000X Orthotic Fitter | |
| 225100000X Physical Therapist | |
| 222Z00000X Orthotist | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-11-13 |