| NPI | 1902078207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PACETTI CFO 630-942-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 07003135) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2022-07-21 |