NPI | 1538692876 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELO MAKRIS Authorized Official 630-323-8690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-08-13 |