| NPI | 1366654410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN HALL Md 708-799-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01050851a) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |