| NPI | 1184039687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE MARTINEZ Administrator 773-878-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 042.004341) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |