| NPI | 1063737658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ORTIZ Practice & Compliance Administrator 630-372-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036064932) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038007742) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036097451) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 070012618) | |
| 363A00000X Physician Assistant (Licence: IL 085001660) | |
| 363A00000X Physician Assistant (Licence: IL 085002852) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2023-09-08 |