| NPI | 1720085384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MADONIA MENTZ Executive Director 630-758-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002330) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-05-12 |