| NPI | 1114392354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM MARSHEH Owner/Provider 815-690-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036110113) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |