| NPI | 1336450030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET JAEKEL Administrator 708-361-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 042619645) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-12-19 |