NPI | 1851397434 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT MACOMBER EVP Of The Manager 312-664-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 79-8) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2020-08-22 |