| NPI | 1922414358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY KVIRIKADZE President 773-750-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036114198) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |