| NPI | 1255506069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG YUN WON Provider 773-275-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036102499) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |