| NPI | 1578672895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A ALBAUGH Urology Clinical Nurse Specialist 312-926-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 209004395) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 209004395) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |