| NPI | 1336203769 |
|---|---|
| Other Name | SAMG CAMELOT OB/GYN |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2013-07-30 |