NPI | 1437347796 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZBETH CANALES Practice Manager 773-327-2400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 036093902) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2007-10-11 |