| 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 |