| NPI | 1619134301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BENJAMIN WYGODNY President 773-593-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 042616725) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |