| NPI | 1952949992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KOVESHNIKOV Owner 773-315-0935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |