| NPI | 1205058617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L BAKKER Administrator 312-735-0976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IL 042618129) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |