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 |