| NPI | 1386151520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HEWELL FISCHER Practice Manager 630-377-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-04-09 |