| NPI | 1518002658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY STERN Assistant Administrator 847-255-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002777) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |