| NPI | 1316686868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET TOMEZSKO President 224-251-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-05-22 |