| NPI | 1053534784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN R RIDDELL Certifiedd Nurse Midwife 773-575-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |