| NPI | 1639050404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNESH PATEL Director Of Operations 815-729-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |