NPI | 1093805517 |
---|---|
Entity Type | Organization |
Authorized Contact | MADISON SAMPLE Chairman 847-696-9015 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2006-10-13 |
Last Update Date | 2025-09-11 |