| NPI | 1457787475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI D GIANNOTTI Owner 847-456-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036098872) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036098872) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |