| NPI | 1275113011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LABEDZ Chief Executive Officer 312-320-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |