| NPI | 1376634675 |
|---|---|
| Former Legal Business Name | ANTONIO BRAVO MD, SC |
| Entity Type | Organization |
| Authorized Contact | MIRIAM B MILLER Office Manager 630-758-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-05-15 |