| NPI | 1063602217 |
|---|---|
| Former Legal Business Name | SUBURBAN OBSTETRICS & GYNECOLOGY, LLC. |
| Entity Type | Organization |
| Authorized Contact | NAHLA MERHI Provider 815-685-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-107262) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036107262) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-02-08 |