| NPI | 1972620904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STEVE LICHTENBERG President/Owner 312-707-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 042007017036076973) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2018-01-26 |