| NPI | 1013014042 |
|---|---|
| Former Legal Business Name | OBSTETRIC AND GYNOCOLOGIC SPECIALISTS OF NORTHWESTERN S.C. |
| Entity Type | Organization |
| Authorized Contact | JANE E BLUMENTHAL Owner/Treasurer 312-654-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-03-04 |