| NPI | 1659522357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI L JEFFERS Office Manager 708-283-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 50004723a) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2009-02-04 |