| NPI | 1306525837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FOUNTAIN VP Revenue Cycle 773-834-5895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-02-15 |