NPI | 1104863638 |
---|---|
Former Legal Business Name | MIDLAND OTHOPEDIC ASSOCIATES S C |
Entity Type | Organization |
Authorized Contact | DANIEL GOGGIN Chief Operating Officer 312-842-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 042007805) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2024-10-04 |