| NPI | 1013634039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LOHMEYER Chief Financial Officer 847-949-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-09-06 |