| NPI | 1043680739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATENISHA GARDLEY Owner 708-434-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 209.012152) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |