| NPI | 1821088667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY K ZAWACKI President 708-484-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-079983) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-11-01 |