| NPI | 1154350353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA FLAMBURIS Revenue Cycle Manager 708-923-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 42000080) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 036095475) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-11-19 |