| NPI | 1467057513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARTKE Chief 847-618-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant Medical | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-03-17 |