| NPI | 1174573935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R TAYLOR Owner 847-490-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |