| NPI | 1306067442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL C MADISON CEO 312-944-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 336058301) |
| 207L00000X Anesthesiology (Licence: IL 336019202) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |