NPI | 1679691612 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE LEKATSOS Administrator 630-261-1280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042617828) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |