| NPI | 1982814992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOURI MELNIK President 773-276-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-094506) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |