| NPI | 1649696147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MAKSIMOVICH President 630-400-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036.087570) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036.087570) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2016-01-13 |