| NPI | 1376576025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGE SCHILLACI Administrative Director 815-744-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 00939803) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-04-20 |