| NPI | 1700123734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIN MASHOUF Administrator 773-376-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 016004154) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |