| NPI | 1730497876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BARRIS Registered Surgical Assistant 847-525-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000148) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-11-10 |