| NPI | 1871609339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E JOSEK Business Office Manager 708-361-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036035531) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |