| NPI | 1215040464 |
|---|---|
| Former Legal Business Name | DEERPATH ORTHOPEDIC SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ASHLEY HILLIARD Administrator 815-318-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2022-09-02 |