NPI | 1245397686 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA J. HATCHER Credentialing Coordinator 630-584-5218 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036076900) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036058922) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |