| NPI | 1053708909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DANIEL PTAK President 847-494-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000411) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-09-06 |