NPI | 1194455998 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER WOOD Medical Director 847-392-9220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2022-06-14 |
Last Update Date | 2023-08-22 |