Organization
GATHERING VALLEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIY LIFSHITS PH.D., L.AC. (PRESIDENT)
(847) 568-0849
Entity
Organization
Contact information
Practice address
8019 LINCOLN AVE, SKOKIE, IL 60077-3611
(847) 568-0849
(847) 410-2123
Mailing address
8019 LINCOLN AVE, SKOKIE, IL 60077-3611
(847) 568-0849
(847) 410-2123
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
198-000104
IL
Other
Enumeration date
02/08/2007
Last updated
06/26/2008
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