| NPI | 1427413673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA SMIRNOVA Business Manager 708-788-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |