| NPI | 1285670737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. PIAZZA CEO 630-355-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036074166) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036074166) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |