| 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 |