| NPI | 1699475368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCSHERRY Director Of Operations 708-275-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2024-09-09 |