| NPI | 1437184363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A COPLEY Director 847-289-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036084462) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-06-12 |