| NPI | 1720627862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAN TRIVEDI Owner 630-533-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |