| NPI | 1770872020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA IVANKOVICH President 312-527-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.004490) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.004490) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.004490) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-05-09 |