| NPI | 1831391689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG K KIM Owner 630-208-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036060318) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036060318) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-02-12 |