| NPI | 1184967614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROSENTHAL President 773-309-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042620100) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |