NPI | 1992755565 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN T GIRARDI CEO & President 847-839-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IL 042618538) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2020-08-22 |