| NPI | 1720776990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA DOWGIERT Nurse Administrator 773-599-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-06-16 |