| NPI | 1386269132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCISCO MARTINEZ JIMENEZ Owner 312-315-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-12-03 |