NPI | 1285101808 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN GILBERT DOMB President 630-920-2317 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-11-01 |