NPI | 1366627721 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY WILLIAM CROSSETTI President 847-605-0280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
261QA1903X Clinic/Center Ambulatory Surgical | |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |