NPI | 1063305100 |
---|---|
Doing Business As | NAPERVILLE FREEDOM DRIVE |
Entity Type | Organization |
Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-09-26 |