NPI | 1255476370 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY STERN Assistant Administrator 847-255-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 7002793) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |