| NPI | 1245466192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIN MOSHIRI Medical Director/Own 773-284-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 60011238) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2015-08-06 |