| NPI | 1508983784 |
|---|---|
| Doing Business As | MERCY CRYSTAL LAKE OB GYN |
| Entity Type | Organization |
| Authorized Contact | JOHN W COOK VP CFO 608-756-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI 310800) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-01-06 |