| NPI | 1972843910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHO STEVEN TAPAZOGLOU CEO 312-282-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101251675) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |