363LA2100X
Oaklawn, IL
Specialty
363LA2100X
NPI
1417718370
9921 Southwest Hwy, Oaklawn, IL 60453
(708) 425-2552Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X