| NPI | 1033525191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA R GONZALEZ Credentialing Coordinator 312-592-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209009336) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-10-21 |