| NPI | 1386060986 |
|---|---|
| Doing Business As | SMG AT 47TH STREET |
| Entity Type | Organization |
| Authorized Contact | JOHN E VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |