| NPI | 1518241892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HAYES Registered Surgical Assistant 630-421-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: IL 238000042) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |