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, Urogynecology and Reconstructive Pelvic Surgery |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2018-07-12 |