NPI | 1174572218 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDALL R. LUTZ Billing Manager 847-836-7015 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2006-05-08 |
Last Update Date | 2020-08-22 |