| NPI | 1306993464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CUNNIFF Chief Admin Officer 312-543-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-03-29 |