| NPI | 1407284979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O AJIBOYE Manager 312-945-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209009857) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2015-01-10 |