| NPI | 1265737621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL I VENDER Managing Partner 847-956-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |