| NPI | 1114789591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LOHMEYER Chief Financial Officer 847-949-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |