| NPI | 1093593923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH SIVARAJAN Medical Director 630-567-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-07-15 |