| NPI | 1114155736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAFULLA K KONERU Physican 847-885-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.052132) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-24 |