NPI | 1538434600 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J PESVENTO President 847-382-4406 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036065375) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2012-03-21 |