| NPI | 1356780530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRASEKHAR SOMPALLI Physician / Owner 773-229-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036094752) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2017-03-23 |