NPI | 1184853137 |
---|---|
Entity Type | Organization |
Authorized Contact | WALLACE L VINSON Certified Surgical Assistants 630-780-8642 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: IL 3408) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2009-07-13 |