| NPI | 1639868771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HEAVENER CFO 630-886-1304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-08-23 |