NPI | 1326085978 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B BRAY Physician President Of Corporation 708-873-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036067226) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2020-08-22 |