| NPI | 1386041572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2019-05-17 |