| 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 |