| NPI | 1922290980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL KHODARKOVSKIY Physician 847-970-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036-107538) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |