NPI | 1083972624 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID PHILIP GERARD President 630-969-1167 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: IL 6827 782 5) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2012-05-02 |