| NPI | 1487903092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LUBIENSKI Manager/Owner 708-710-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036071444) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036071444) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2013-03-21 |