| NPI | 1073666061 |
|---|---|
| Doing Business As | ANAL DYSPLASIA CLINIC MIDWEST |
| Entity Type | Organization |
| Authorized Contact | GARY G BUCHER President 312-623-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036087460) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2025-05-16 |