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 |