| NPI | 1104691450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE ISAILY Sr VP Of Operations 312-819-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |