| NPI | 1124173851 |
|---|---|
| Other Name | SA OBSTETRICS AND GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-07-12 |