| NPI | 1154412120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW WOOD Medical Director 773-221-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003072) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-08-11 |