| NPI | 1306028147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SARASON Billing Director 815-464-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 036099651) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-10-01 |