| NPI | 1801332416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E PIEPENBRINK Surgical Assistant 708-732-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000500) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |