Gathering Valley Center

NPI #1982745519 in Skokie, Illinois

Provider Information

NPI Number: 1982745519
Entity Type: Organization
Organization Name: Gathering Valley Center
Primary Specialty: Clinic/Center
Enumeration Date: Feb 8, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 8019 LINCOLN AVE
City: Skokie
State: Illinois
ZIP Code: 60077-3611
Phone: (847) 568-0849

Authorized Official

Name: DR. GEORGIY LIFSHITS, PH.D., L.AC.
Title: PRESIDENT
Phone: (847) 568-0849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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