| NPI | 1487005641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FOHRMAN President/ Sole Owner 312-608-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A65434) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |