NPI | 1659776425 |
---|---|
Doing Business As | SUBURBAN ORTHOPAEDICS LTD |
Entity Type | Organization |
Authorized Contact | EDWARD ORTIZ Practice & Compliance Administrator 630-372-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 036064932) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2023-09-08 |