| NPI | 1396943221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P HERTEL Operations Manager 708-799-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036064598) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01036580a) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-02-13 |