NPI | 1609955475 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY L. CALLAHAN CEO 773-508-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 007002918) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-08-22 |