| NPI | 1295753093 |
|---|---|
| Doing Business As | BOFFA SURGICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | CARLOS D ORTEGA Employee 773-235-8887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036100042) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036100042) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036100042) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-05-05 |