| NPI | 1659077725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETAR GYUZELEV First Surgical Assistant/Manager 815-307-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |