| NPI | 1356852735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DAVILA Manager 630-537-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IL 036128363) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |