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 |