| NPI | 1750673828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN S PANARES CEO 312-593-0824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 238.000082) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |