NPI | 1477961324 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BRIDGEWATER Project Manager 847-255-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003166) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2014-07-23 |