| NPI | 1477863942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L SMITH Cnm/Office Manager 847-697-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036065268) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-11-10 |