| NPI | 1992706295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MACOMBER EVP Of The Manager 312-664-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MO 119-2) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |