| NPI | 1780674515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J NIELSEN President 312-942-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2009-11-25 |