| NPI | 1225151483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E MILLER Physician 847-593-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |