| NPI | 1679858674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE GUAGENTI Manager 312-480-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036118798) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |