| NPI | 1316254113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE W DENHAM Owner 847-559-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.102521) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2026-01-05 |