| NPI | 1093850331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA L BUTLER Billing Manager 630-810-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036050637) |
| 208600000X Surgery (Licence: IL 036050637) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-12-09 |