| NPI | 1457565426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI L GRETZ Practice Manager 312-981-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036-058725) |
| Additional Taxonomies | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: IL 036058725) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036-058725) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036-058725) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2010-04-27 |