| NPI | 1508060146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M. MULTACK Physician 708-579-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036069090) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |