NPI | 1104897644 |
---|---|
Doing Business As | FOX VALLEY ORTHOPAEDIC AMBULATORY SURGICAL CENTER |
Entity Type | Organization |
Authorized Contact | DEBBIE NAVIGATO Credentialing Coordinator 630-938-4011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002165) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2019-12-26 |