NPI | 1851875157 |
---|---|
Entity Type | Organization |
Authorized Contact | DAINIUS SKRIPKAUSKAS CEO 847-508-4081 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
Enumeration Date | 2018-09-21 |
Last Update Date | 2022-12-13 |