| NPI | 1154513356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY R ZIMMERMAN President 847-277-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036061346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005134) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041312958) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-11-26 |