| NPI | 1548761968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA SLATER President/Manager 847-707-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000441) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-03-25 |