NPI | 1033143532 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA RICE Practice Administrator 847-884-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 060006443) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-07-13 |