NPI | 1184680407 |
---|---|
Entity Type | Organization |
Authorized Contact | KIANOOSH JAFARI Medical Director 630-990-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7001548) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |