| NPI | 1982726121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN W RUBACH President 630-851-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: IL 36091277) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |