| NPI | 1982189395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARIK KHACHATRYAN President 312-605-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |