| NPI | 1649435322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ALICE SKINNER Physician/Surgeon 312-753-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G81701) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G81701) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA G81701) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-23 |