| NPI | 1356779532 |
|---|---|
| Doing Business As | SMG SOUTH PULASKI |
| Entity Type | Organization |
| Authorized Contact | JOHN E VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-11-25 |