| NPI | 1235457896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR AKINOLA Surgical Assistant 847-207-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238-000254) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |