| NPI | 1922275494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT NEWCOMB President 847-885-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 016005040) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |