| NPI | 1497203475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROSENTHAL Director 224-231-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |