| NPI | 1932116670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SIDELL President 773-929-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036047419) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |