| NPI | 1922182500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W BRODERICK President 847-398-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 42002512) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-08-14 |