| NPI | 1477974053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE NOWAK Owner 708-636-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036130807) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |