| NPI | 1699008706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R. WITT President 312-942-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 042.006019) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IL 042.006019) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |