| NPI | 1265964050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN KERWIN Director Of Patient Services 847-285-4299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |