| NPI | 1861470486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA HORSTMANN Administrator 708-478-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002553) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2012-05-11 |