| NPI | 1144260068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B BRAY Physician President Of Corporation 708-873-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036086269) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |