| NPI | 1134421639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL M KUBYCHECK Owner/Doctor 630-789-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-056399) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |