| NPI | 1477851343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J GEROULIS Medical Director President 847-441-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 036050050) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2015-11-24 |