| NPI | 1134343866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S. CHURCHILL Owner 847-304-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL not needed) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-03-18 |