Organization
VITAMAX THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GURALNIK PT (OWNER)
(847) 361-9155
Entity
Organization
Contact information
Practice address
318 W HALF DAY RD, # 320, BUFFALO GROVE, IL 60089-6547
(847) 361-9155
Mailing address
318 W HALF DAY RD, # 320, BUFFALO GROVE, IL 60089-6547
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070006325
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070006325
LICENSE
IL
Enumeration date
01/11/2012
Last updated
01/11/2012
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