| NPI | 1407329501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHIFRIN Owner And Medical Director 312-502-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |