| NPI | 1306221668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATENISHA GARDLEY Owner 708-434-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |