| NPI | 1558344846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH KAZY-GAREY Executive Director 847-960-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2025-06-03 |