| NPI | 1922141647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAVI RAMPALLI Regional Business Office Manager 312-573-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002090) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-01-23 |