| NPI | 1174741805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANATH KUMAR Surgeon 708-460-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2021-12-23 |