NPI | 1154382893 |
---|---|
Doing Business As | GYNECOLOGICAL CARE GROUP |
Entity Type | Organization |
Authorized Contact | BRIAN T SMITH Vice President/Authorized Official 312-942-6909 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
Enumeration Date | 2006-03-31 |
Last Update Date | 2012-05-07 |