| NPI | 1083817407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON M WOLIN Medical Doctor 773-248-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36060229) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-12-07 |