| NPI | 1851317614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SPORER Board Chair 630-449-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002538) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2026-08-25 |