| NPI | 1700188000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEN GRIMES Administrator 630-495-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7003154) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2013-02-28 |