| NPI | 1548697147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO RUIZ President 773-278-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 36040647) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |