| NPI | 1922454255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA WYSZOMIRSKI-CORN Manager Of Office Operations 312-878-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IL 164006766) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |