| NPI | 1689153140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSANDRA CUNNINGHAM Executive Director 847-807-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036055465) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-06-11 |