| NPI | 1114956091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L HOLBROOK Owner 815-484-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036084288) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-10-27 |