| NPI | 1427297100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HRIBAR Administrator 708-581-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: IL 036-062338) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-096031) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-06-09 |