| NPI | 1639299712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BOONE BRACKETT President 708-848-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36-37881) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-08-08 |