| NPI | 1639406440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEY BLYTHIN Practice Administrator 773-321-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036094206) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2023-12-20 |