| NPI | 1225284490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIS JOHN B. ARENAS Owner 847-208-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 23800181) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |