| NPI | 1982988663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY MARSIGLIA Managing Member 847-593-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036127880) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036122435) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2013-01-07 |