| NPI | 1053597161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOOSH JAFARI Owner 630-990-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003116) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-18 |