| NPI | 1649469099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN YATES Billing Manager 312-475-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 36-053824) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2010-11-04 |