NPI | 1306135298 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J GASHKOFF Medical Director 630-303-5304 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003162) |
Enumeration Date | 2011-03-31 |
Last Update Date | 2016-09-08 |