| NPI | 1407009103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ELISE SMITH President 773-542-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036062316) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036062316) |
| 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: IL 036062316) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 036062316) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: IL 036062316) | |
| 208D00000X General Practice (Licence: IL 036062316) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |