| NPI | 1316126766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERCY JAFARI Owner 630-368-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 036047922) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |