| NPI | 1013269547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TROY Director 708-599-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-04-27 |