| NPI | 1982364451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINEO O. BANAS President 773-946-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |