| NPI | 1437755147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN JOHNSON Director 708-572-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2022-01-17 |