| NPI | 1275975146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DUTTA Owner/President 309-661-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-113555) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |