| NPI | 1972126092 |
|---|---|
| Doing Business As | VAX MOBILE |
| Entity Type | Organization |
| Authorized Contact | STEPHAN TOKARZ CEO 847-275-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-08-10 |