| NPI | 1952791220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE THOMAS NELLAMATTATHIL Manager 773-774-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: IL Il1197) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |