| NPI | 1144626912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER C BESLER Registered Surgical Assistant 630-484-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-12 |