104100000X
St Charles, IL
Specialty
104100000X
Credential
JD LCSW
NPI
1750371183
2210 Dean St, St Charles, IL 60175
(630) 584-9800Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 104100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 104100000X