| NPI | 1538384706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CLAYTON Director Of Finance And Administrat 847-966-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2012-08-30 |