| NPI | 1053428581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN DANETTE JACKSON Office Manager 630-376-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 036111694) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-06-13 |