| NPI | 1952614596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIAN KRAVTSOV President 847-361-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |