NPI | 1215937909 |
---|---|
Entity Type | Organization |
Authorized Contact | BENEDICTO QUEDADO FIGUERRES President 815-664-4997 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036-052858) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2020-08-22 |