| NPI | 1952000309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LOHMEYER Chief Financial Officier 847-949-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-05-16 |