| NPI | 1437323631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE OPAL GREEN President 773-230-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036055836) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |