| NPI | 1225117815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M PAVESE President 708-423-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 042002689) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-09-25 |