| NPI | 1013080613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE OLDHAM Physician 312-942-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036105494) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-05-27 |