| NPI | 1538909734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CORBELL Chief Executive Officer 630-600-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |