| NPI | 1144307042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON DY President/Owner 708-346-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-057507) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-10 |