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 |