| NPI | 1457805285 |
|---|---|
| Doing Business As | AMITA HEALTH MEDICAL GROUP BREAST SURGERY |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of PFS 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |