| NPI | 1922248517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOOSH JAFARI Owner 630-990-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 7002496) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |