| NPI | 1063692580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUSZ TOMASZ KOZIOL Owner 847-312-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.118758) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2009-02-17 |