| NPI | 1225068117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L JARYSZAK President 847-531-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036099828) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |