| NPI | 1114290244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHAVADAN J VYAS Physician/Owner 815-433-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036071120) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |