| NPI | 1073853909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR J VARGAS Medical Director 773-934-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 03647133) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |