| NPI | 1174014435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL ROBLEDO President 708-577-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000484) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |