NPI | 1295465714 |
---|---|
Entity Type | Organization |
Authorized Contact | AISHA KHALALI TAYLOR Urogynecologic Specialist 312-450-4883 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
261QA1903X Clinic/Center, Ambulatory Surgical | |
Enumeration Date | 2022-06-16 |
Last Update Date | 2022-06-16 |