| NPI | 1235683798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA LEVITIN President 847-215-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003204) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2023-12-19 |